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ProsthetistsProsthetists design and fit the best possible artificial replacements for patients who have lost or were born without a limb. They design a replacement limb by taking a plaster cast of the area on to which it is to fit and modelling it to ensure it will be safe and comfortable. They supervise the technicians assembling the prosthesis and then fit it and advise patients on how to use it. OrthotistsOrthotists provide braces, splints and special footwear to help patients with movement difficulties and to relieve discomfort. For example, orthotists supply special footwear for patients with diabetes. This footwear is specially made to ensure that there are no internal seams that could rub or cause injury to the foot, and is made of very soft and yielding materials. Orthotists often work in outpatients clinics. Their patients include older people needing special shoes because of arthritis; children with cerebral palsy needing individually designed splints and people with back problems needing a special brace. For example a patient may be left with a dropped foot following a stroke – an orthotist may be asked to fit an ankle-foot splint to help them walk more easily. The orthotist assesses the patient’s problem and decides upon a prescription. He or she then designs the orthosis, supervises its manufacture, fitting and adjustment, and teaches the patient how to use it.
Training and Career InformationEntry requirementsThree A levels at good grades, or the equivalent, including Maths and at least one science, preferably physics, chemistry or biology. Prosthetic/orthotic education is currently a four-year honours degree course (offered at two universities), which contains a final year of clinical experience. Although the courses vary, they both consist of three years of academic learning mixed with clinical tuition. The final year involves two six month clinical placements, one orthotic and one prosthetic. Mature students without the necessary qualifications will be considered. For further, more detailed information get in touch with British Association of Prosthetists and Orthotists, contact details given below. British Association of Prosthetists and Orthotists Further informationNHS careers on 0845 60 60 655
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